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111.
In Chicago, African‐American youth experience disproportionately high rates of exposure to community violence. Growing evidence documents that such exposures are related to youth sexual behaviours. This qualitative study seeks to illuminate the various ways in which violence and sex are intertwined in the lives of African‐American youth. Analysing data from four focus groups (N = 54), major themes indicated that parents linked community violence with: (i) influencing youth sexual interests and opportunities for having sex; (ii) specific notions of youth sexual identities and social status; (iii) increased gang involvement and sexual initiations; and (iv) girls' grudges and their sexual concurrency with boys. These findings suggest that addressing these specific issues is important in parent‐centred and community‐grounded interventions aimed at reducing risky sexual behaviours among African‐American youth.  相似文献   
112.
To study how well the physical environments of four Green Houses® served the residents, staff, and visitors and to develop recommendations for similar small-house nursing home projects. Longitudinal post-occupancy evaluation of four houses using mixed-methods, including behavioral mapping, checklist ratings of individual bedrooms and bathrooms, place-centered time scans, environmental tracers, and questionnaires and interviews. The small residential environments achieved the desired functional results for residents and staff. Some components of the environment proved problematic, especially bathroom designs, lighting and fixtures, and storage spaces. Certain areas of the buildings were under utilized, particularly a den. Space was used differently in the two houses dedicated to residents with dementia compared to the other two houses. In the latter, residents tended to use their own rooms for a variety of activities, including visits, and often kept their doors closed, whereas in the former the central hearth area was used more frequently. The physical design of the Green Houses was associated with desired behavior and outcomes in residents and staff. Post-occupancy evaluation methods were useful to elicit detailed information about environmental performance and suggest modifications for the next iteration of Green Houses.  相似文献   
113.
This study recommends that the Public Relations Society of America expand its professional values list to include respect and trustworthiness. This addition also shows the value this study's public relations participants place on mutually beneficial relationships with their clients/employers, customers, communities, and society as a whole. The findings contribute to the growing attention to and value of relationship management theory for effective public relations.  相似文献   
114.
One persistent problem that many small rural towns face is housing adequacy, which encompasses interior and exterior structural conditions; assessments of heating, cooling, and sanitation systems; and residence size relative to space needs. The creation and reproduction of vibrant rural communities is grounded in the capacity of citizens to solve local housing problems. We posit that towns with strong norms of mutuality, high information flows, and inclusive behaviors have a civic structure that produces the capacity to frame and resolve housing concerns. We find that perceptions of civic structure are a significant factor in explaining the variation in rural housing adequacy, net of income, age, and tenure. This implies that the social and political environment is an important influence on the quality of housing stock found in rural places.  相似文献   
115.
Our research examines practices for managing project leaders as a component of an organization's capability for radical innovation. Our qualitative analysis of 246 interviews in twelve industry-leading corporations suggests that managers use performance-based assessment to select project leaders with demonstrated experience and skills for innovation, as well as passion that extends beyond a single project toward an awareness of its broader contribution to the organization's growth objectives. The managerial role includes concurrent hands-off/hands-on involvement, which balances autonomy and accountability with guidance. Additionally, downside/upside management involves removing the negative consequences associated with failure while providing recognition for the project leader's efforts.  相似文献   
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117.

Background

Listening to women as part of their antenatal care has been recognized as valuable in understanding the woman’s needs. Conversations as part of routine antenatal interactions offer ideal opportunities for women to express themselves and for midwives to learn about the woman’s issues and concerns. The antenatal visit and the convention of antenatal consultations for midwives have not been well explored or defined and much of what takes place replicate medical consultative processes. As a consequence, there is little to assist midwives construct woman-centred care consultations for their routine antenatal care practice. This study showed how some practices were better in promoting the woman’s voice and woman-centred care in the hospital setting.

Method

Contemporary focused ethnography using both interview and observations, explored how midwives from six different public antenatal clinics in South Australia organized their antenatal care consultations with pregnant women.

Findings

Thematic analysis of the data provided insights into professional interpretation of woman-centred practice. How midwives interacted with women during routine antenatal care events demonstrated that some practices in a hospital setting could either support or undermine a woman-centred philosophy.

Conclusion

Individual midwives adopted practices according to their own perceptions of actions and behaviors that were considered to be in accordance with the philosophy of woman-centred care. Information arising from this study has shown ways midwives may arrange antenatal care consultations to maximize women’s participation.  相似文献   
118.
119.
Based mostly upon a qualitative study of nine rape survivors, but also upon intensive review of the literature devoted to countertransference, vicarious traumatization, compassion fatigue, and burnout, this article examines collusive resistance, a process whereby therapists join clients to avoid confronting painful issues. It offers guidelines for the therapist to follow in the therapeutic dance to avert such collusion, and thereby to intervene more effectively especially with traumatized clients to facilitate their recovery actively, and, ultimately, to contribute to their true survivorship.  相似文献   
120.
Three basic therapeutic approaches applicable to the majority of cancer patients are outlined and illustrated with case vignettes. They are: (1) Initial catharsis and validation of feelings, (2) Restoring communication impaired by denial, and (3) Understanding the psychological meaning of the illness. Using this framework, the therapist's professional skills may be organized toward specific interventions, thereby stabilizing the associated ego functions against the regression often induced by the anxieties mobilized by working with seriously ill patients.  相似文献   
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